Abstract：
BACKGROUND: Cardiovascular disease (CVD) is the leading cause of death and illness globally. Influenza, pneumococcal disease and herpes zoster infection may trigger acute cardiovascular events or cause complications among cardiac patients. Vaccination is recommended for adults with CVD. There is a gap in research evidence around determinants and uptake of influenza, pneumococcal and zoster vaccines in adults with CVD.
OBJECTIVE: The aim of this study is to examine the rate of the uptake of influenza, zoster and pneumococcal vaccines, factors associated with the uptake of influenza vaccine, and the perceptions of influenza and pneumococcal vaccination among people with CVD in the community.
METHODS: Cross-sectional survey data was analysed from three separate surveys carried out in Australia between October 2019 and September 2020 of 972 adults with CVD. We used descriptive statistics to describe data. Thematic analysis examined the reasons for taking influenza vaccine. Multivariable analysis was used to identify independent predictors of the influenza vaccine uptake and perceptions associated with the uptake of influenza and pneumococcal vaccines.
RESULTS: Out of 972 participants, a total of 661 (68 %) people said they had received influenza vaccine in the last 12 months; 361 (37 %) had ever received pneumococcal vaccine; 196 (20 %) had ever received zoster vaccine. Among 661 participants who said they received influenza vaccine within the 12 months prior to the study, 543 (82 %) participants received it from doctors or general practitioners (GPs) offices. Age 65 and older, being born in Australia, being employed or retired and having comorbidity were positive predictors of influenza vaccination. Doctors\' recommendations to take the vaccine and awareness of free vaccines positively predicted influenza and pneumococcal vaccine uptake.
CONCLUSIONS: The uptake of recommended pneumococcal and zoster vaccines is low in people with CVD. Doctors\' recommendations, targeted health promotion programs in general practice, and easy access to vaccination may optimise vaccination uptake in patients with CVD.
OBJECTIVE: The aim of this study is to examine the rate of the uptake of influenza, zoster and pneumococcal vaccines, factors associated with the uptake of influenza vaccine, and the perceptions of influenza and pneumococcal vaccination among people with CVD in the community.
METHODS: Cross-sectional survey data was analysed from three separate surveys carried out in Australia between October 2019 and September 2020 of 972 adults with CVD. We used descriptive statistics to describe data. Thematic analysis examined the reasons for taking influenza vaccine. Multivariable analysis was used to identify independent predictors of the influenza vaccine uptake and perceptions associated with the uptake of influenza and pneumococcal vaccines.
RESULTS: Out of 972 participants, a total of 661 (68 %) people said they had received influenza vaccine in the last 12 months; 361 (37 %) had ever received pneumococcal vaccine; 196 (20 %) had ever received zoster vaccine. Among 661 participants who said they received influenza vaccine within the 12 months prior to the study, 543 (82 %) participants received it from doctors or general practitioners (GPs) offices. Age 65 and older, being born in Australia, being employed or retired and having comorbidity were positive predictors of influenza vaccination. Doctors\' recommendations to take the vaccine and awareness of free vaccines positively predicted influenza and pneumococcal vaccine uptake.
CONCLUSIONS: The uptake of recommended pneumococcal and zoster vaccines is low in people with CVD. Doctors\' recommendations, targeted health promotion programs in general practice, and easy access to vaccination may optimise vaccination uptake in patients with CVD.
摘要：
背景：心血管疾病（CVD）是全球死亡和疾病的主要原因。流感,肺炎球菌病和带状疱疹感染可能引发心脏病患者的急性心血管事件或并发症.建议成人CVD疫苗接种。关于流感的决定因素和摄取的研究证据存在差距，成人CVD患者的肺炎球菌和带状疱疹疫苗。
目的：本研究的目的是检查流感的摄取率，带状疱疹和肺炎球菌疫苗，与流感疫苗摄取相关的因素，以及社区心血管疾病患者对流感和肺炎球菌疫苗接种的看法。
方法：横断面调查数据来自2019年10月至2020年9月在澳大利亚进行的972名CVD成年人的三项独立调查。我们使用描述性统计来描述数据。专题分析检查了接种流感疫苗的原因。多变量分析用于确定流感疫苗摄取的独立预测因子以及与流感和肺炎球菌疫苗摄取相关的认知。
结果：在972名参与者中，共有661人(68%)表示他们在过去12个月内接种过流感疫苗;361人(37%)曾经接种过肺炎球菌疫苗;196人(20%)曾经接种过带状疱疹疫苗.在661名参与者中，他们说他们在研究前12个月内接种了流感疫苗，543（82％）参与者从医生或全科医生（GP）办公室收到了它。65岁及以上，出生在澳大利亚,受雇或退休并有合并症是流感疫苗接种的阳性预测因子.医生建议接种疫苗和对免费疫苗的认识积极预测流感和肺炎球菌疫苗的摄取。
结论：心血管疾病患者推荐的肺炎球菌和带状疱疹疫苗的摄取量较低。医生的建议，在一般实践中有针对性的健康促进计划，容易获得疫苗接种可以优化CVD患者的疫苗接种。
目的：本研究的目的是检查流感的摄取率，带状疱疹和肺炎球菌疫苗，与流感疫苗摄取相关的因素，以及社区心血管疾病患者对流感和肺炎球菌疫苗接种的看法。
方法：横断面调查数据来自2019年10月至2020年9月在澳大利亚进行的972名CVD成年人的三项独立调查。我们使用描述性统计来描述数据。专题分析检查了接种流感疫苗的原因。多变量分析用于确定流感疫苗摄取的独立预测因子以及与流感和肺炎球菌疫苗摄取相关的认知。
结果：在972名参与者中，共有661人(68%)表示他们在过去12个月内接种过流感疫苗;361人(37%)曾经接种过肺炎球菌疫苗;196人(20%)曾经接种过带状疱疹疫苗.在661名参与者中，他们说他们在研究前12个月内接种了流感疫苗，543（82％）参与者从医生或全科医生（GP）办公室收到了它。65岁及以上，出生在澳大利亚,受雇或退休并有合并症是流感疫苗接种的阳性预测因子.医生建议接种疫苗和对免费疫苗的认识积极预测流感和肺炎球菌疫苗的摄取。
结论：心血管疾病患者推荐的肺炎球菌和带状疱疹疫苗的摄取量较低。医生的建议，在一般实践中有针对性的健康促进计划，容易获得疫苗接种可以优化CVD患者的疫苗接种。
